BRYAN JIMENEZ
NPI 1669946091
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since January 18, 2019
480 ALTA RD, SAN DIEGO, CA 92179(619) 661-6500 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2019, Jan 18, 2019 (2 updates tracked since 2019).

About Bryan Jimenez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN JIMENEZ (NPI 1669946091) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1669946091
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRYAN JIMENEZ
Location Address480 ALTA RDSan Diego, CA 92179-0001
Mailing Address1915 Porter StSan Bernardino, CA 92407-6539 · (909) 246-9569
Sole ProprietorNo
Enumeration DateJanuary 18, 2019
Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1669946091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
480 ALTA RD, San Diego, CA 92179

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Pharmacist
480 ALTA RD
SAN DIEGO, CA 92179
Social Worker (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Jimenez's NPI number?

The NPI number for Bryan Jimenez is 1669946091. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Bryan Jimenez located?

Bryan Jimenez practices at 480 Alta Rd, San Diego, CA 92179. The listed phone number is (619) 661-6500.

What is Bryan Jimenez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bryan Jimenez was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.